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MR. JERRY WILLIAM HUSSONG DDS MD
NPI 1346201209
Pathology - Anatomic Pathology & Clinical Pathology in Salt Lake City, UT

Active since March 30, 2006
500 S CHIPETA WAY, SALT LAKE CITY, UT 84108(801) 583-2787(801) 584-5141 Get Directions Write a Review

NPPES record last updated: October 29, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Jerry William Hussong Dds Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. JERRY WILLIAM HUSSONG DDS MD (NPI 1346201209) is an individual anatomic pathology & clinical pathology provider in Salt Lake City, Utah, licensed in Utah (3403921205) and active in the NPI registry since March 2006.

NPPES Registry Identity

NPI1346201209
Entity TypeIndividualMale
Primary Taxonomy207ZP0102X
Provider Legal NameMR. JERRY WILLIAM HUSSONGCredential: DDS MD
Location Address500 S CHIPETA WAYSalt Lake City, UT 84108-1221
Mailing Address500 S Chipeta WaySalt Lake City, UT 84108-1221 · (801) 583-2787 · Fax (801) 584-5141
Phone(801) 583-2787
Fax(801) 584-5141
Sole ProprietorNo
Enumeration DateMarch 30, 2006
Last NPPES UpdateOctober 29, 2013
✔ NPI 1346201209 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
Licenses✔ Licensed in UT · 3403921205✔ Licensed in NV · 9291✔ Licensed in CA · G86484
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
Also ListedPathology · HematologyTaxonomy 207ZH0000X · License 9291 (NV), G86484 (CA), 3403921205 (UT)
500 S CHIPETA WAY, Salt Lake City, UT 84108
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Other Identifiers 3

Medicare UPINH08257
Medicaid200225018NV
Medicare PINV32825NV

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LINCOLN JOSEPH PAC M.D.
Pathology (Hematology)
500 S CHIPETA WAY
SALT LAKE CITY, UT 84108
Salt Lake County (801) 584-5240
PHILLIP M. BENNETT DO
Pathology (Anatomic Pathology & Clinical Pathology)
500 S CHIPETA WAY
SALT LAKE CITY, UT 84108
Salt Lake County (801) 587-4281
BEHZAD MANSOORI
Specialist/Technologist, Pathology (Immunology)
500 S CHIPETA WAY
SALT LAKE CITY, UT 84108
Salt Lake County (801) 583-2787
MS. MARCIA THERESA JODAH MS, LCGC
Genetic Counselor, MS
500 S CHIPETA WAY
SALT LAKE CITY, UT 84108
Salt Lake County (800) 242-2787
DR. REBECCA MILLAR HARRIS M.D.
Pathology (Clinical Pathology)
500 S CHIPETA WAY, ARUP LABORATORIES
SALT LAKE CITY, UT 84108
Salt Lake County (801) 583-2787
DR. BRYCE A. MACEK MD
Pathology (Anatomic Pathology & Clinical Pathology)
500 S CHIPETA WAY
SALT LAKE CITY, UT 84108
Salt Lake County (801) 583-2787
IRENE CARLA TAN RD
Dietitian, Registered
500 S CHIPETA WAY
SALT LAKE CITY, UT 84108
Salt Lake County (801) 583-2787
SARA VELDEN MS, CGC
Genetic Counselor, MS
500 S CHIPETA WAY, MAIL CODE 398-D01
SALT LAKE CITY, UT 84108
Salt Lake County (801) 583-2787

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jerry Hussong's NPI number?

The NPI number for Jerry Hussong is 1346201209. It was assigned to this individual provider in the NPPES registry on March 30, 2006.

Where is Jerry Hussong located?

Jerry Hussong practices at 500 S Chipeta Way, Salt Lake City, UT 84108. The listed phone number is (801) 583-2787.

What is Jerry Hussong's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

When was this NPI record last updated?

The NPPES record for Jerry Hussong was last updated on October 29, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.